Manager, Healthcare Contracts
About The Position
OrthoVirginia is seeking a Healthcare Contracts Manager to lead payer contracting strategy from negotiation through implementation. The role secures agreements that support financial performance, operational goals, and long-term growth, and collaborates with organizational leaders while building relationships with payers and provider partners. The ideal candidate brings strong negotiation and analytical skills, a deep understanding of healthcare contracting, and the ability to manage complex agreements and use data and market insights to inform strategic decisions. This position is remote and requires the employee to reside in Virginia. The compensation range is $83,000 to $124,500, based on factors including qualifications, relevant experience, education, skills, certifications, geography or market, and internal equity.
Requirements
- Bachelor's degree.
- At least 3 years of healthcare payer contracting experience.
- Proven contract negotiation and relationship management skills.
- Knowledge of healthcare reimbursement, payer operations, and regulatory requirements.
- Experience with Epic.
- Strong analytical, communication, and organizational skills, with the ability to manage competing priorities.
Nice To Haves
- Experience with health plans, MSOs, IPAs, or TPAs.
- Experience with reimbursement analysis, network development, and market expansion initiatives.
Responsibilities
- Lead negotiation, execution, and management of contracts across commercial, government, and other payer relationships.
- Identify opportunities to expand payer access and strengthen market coverage.
- Evaluate reimbursement methodologies, utilization trends, and financial performance to support contract strategy.
- Ensure agreements align with organizational objectives and regulatory requirements.
- Manage the contract lifecycle from planning and negotiation through implementation and ongoing administration.
- Coordinate internal review and approval processes for contract execution.
- Maintain contract documentation and manage renewals, amendments, and termination deadlines.
- Develop processes and tracking tools for effective contract oversight.
- Build and maintain productive relationships with payer partners and internal stakeholders.
- Partner with leadership to identify opportunities for contract optimization and network growth.
- Review fee schedules and contract language for competitiveness and alignment with organizational needs.
- Serve as a resource on contract terms, reimbursement methodologies, and payer policies.
- Communicate contract updates and payer changes to operational, billing, and revenue cycle teams.
- Provide contracting expertise and market insights in support of strategic initiatives.
- Monitor contract performance and identify opportunities for improvement.
- Prepare regular reports and updates on contracting activities and key initiatives.
- Maintain accurate contract data within internal systems and databases.
- Support special projects and contracting-related initiatives as needed.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
